Proportion of medical insurance reimbursement for employees in Quanzhou in 2024

Proportion of medical insurance reimbursement for employees in Quanzhou in 2024:

1. The reimbursement rate of employees in tertiary hospitals increased to 80%, secondary hospitals to 85% and primary hospitals to 90%.

2. The reimbursement rate of retired workers in tertiary hospitals has increased to 85%, secondary hospitals to 90% and primary hospitals to 95%.

3. The annual maximum payment limit of employee medical insurance is adjusted from 23,000 yuan to 400,000 yuan (including 250,000 yuan for large medical expenses for employees).

Quanzhou employee medical insurance reimbursement process:

1. Go to the hospital to go through the medical insurance networking formalities with valid certificates such as medical insurance card or ID card and household registration book, and go through the settlement formalities directly when leaving the hospital.

2. Or bring relevant information to the relevant departments of the local social security center. If the audit meets the requirements after completion, it can be handled immediately.

To sum up, in 2024, Quanzhou will substantially increase the proportion of employees' medical insurance reimbursement and adjust relevant medical insurance policies to better meet the medical needs of insured employees and reduce their economic burden.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.